Case Report Open Access

PRACAU Protocol: New Protocol for Chronic Pelvic Pain Syndrome. A Study Case Report

Abstract

Introduction: The prevalence of pelvic floor pain syndrome in women is about 4%. The use of a powerful tool like advanced three-dimensional ultrasound in the assessment, study, treatment and monitoring of painful pelvic pathology starts getting encouraging results. Knowing the behavior of the injured area in real time without surgery and without radiation exposure is very remarkable. Objective: To discuss the case of a 28 year old woman with intractable pudendal neuralgia. Description: 28 year old patient attends consultation related to untreatable diagnosed pelvic floor pain syndrome for 5 years. Poor response to specialized medical treatment, no pain relief with physiotherapy and rehabilitation. Go with intense pain in the right vulvo-vaginal area of 12 weeks duration and pain during sexual intercourse (dyspareunia). Evaluated by our interdisciplinary team approach and decided to make pudendal release by three-dimensional ultrasound vulvo-vaginal area. The new PRACAU Protocol (Pudendal Relief Alcock Canal Advanced Ultrasound) of our authorship was applied. It consists of a hydrodissection release using platelet-rich plasma (PRP) 10 ml and local anesthetic (levobupivacaine 0.125%). This treatment method is applied around the nerve to provide symptoms relief. Discussion: Consultations review showed an improvement of symptoms and signs immediately, comparative assessment score showed a positive development objective measure and valued through the strain rate. The interdisciplinary evaluation and use of advanced ultrasonic image techniques provide security and guarantees for our patients.

Cidranes ED* and Blanco ZE

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